Award Abstract # 1464376
CRII: CHS: Investigating Online Peer Support for Health and Wellness

NSF Org: IIS
Division of Information & Intelligent Systems
Recipient: REGENTS OF THE UNIVERSITY OF MINNESOTA
Initial Amendment Date: March 17, 2015
Latest Amendment Date: August 1, 2018
Award Number: 1464376
Award Instrument: Continuing Grant
Program Manager: William Bainbridge
IIS
 Division of Information & Intelligent Systems
CSE
 Directorate for Computer and Information Science and Engineering
Start Date: September 1, 2015
End Date: August 31, 2019 (Estimated)
Total Intended Award Amount: $174,987.00
Total Awarded Amount to Date: $190,987.00
Funds Obligated to Date: FY 2015 = $102,396.00
FY 2016 = $88,591.00
History of Investigator:
  • Svetlana Yarosh (Principal Investigator)
    lana@umn.edu
Recipient Sponsored Research Office: University of Minnesota-Twin Cities
2221 UNIVERSITY AVE SE STE 100
MINNEAPOLIS
MN  US  55414-3074
(612)624-5599
Sponsor Congressional District: 05
Primary Place of Performance: University of Minnesota-Twin Cities
Keller Hall, 200 Union St., SE
Minneapolis
MN  US  55455-0159
Primary Place of Performance
Congressional District:
05
Unique Entity Identifier (UEI): KABJZBBJ4B54
Parent UEI:
NSF Program(s): CRII CISE Research Initiation,
HCC-Human-Centered Computing
Primary Program Source: 01001516DB NSF RESEARCH & RELATED ACTIVIT
01001617DB NSF RESEARCH & RELATED ACTIVIT
Program Reference Code(s): 7367, 8228, 9251
Program Element Code(s): 026Y00, 736700
Award Agency Code: 4900
Fund Agency Code: 4900
Assistance Listing Number(s): 47.070

ABSTRACT

This project contributes to our understanding of the relationship between people and technology by addressing two related core open problems in the field: enacting anonymity online and managing strong tie support in online communities. Issues of privacy, anonymity, equality of participation, engagement, and social support are of interest in many online contexts. This work extends the theory and practice of Social Computing and Human-Computer Interaction by contributing a rigorous empirical investigation of online anonymity and peer support practices in online communities for recovery from addiction and alcoholism. Additionally, this project will contribute to the design of new technologies to advance national health and welfare - addressing the "treatment gap" for addicts and alcoholics who seek recovery by leveraging novel technology to connect them with treatment and peer support.

These topics will be investigated through four specific research activities. First, participatory observation will be conducted of an online community for recovering addicts and alcoholics. Second, data will be downloaded from this online community over the course of a year to develop a quantitative understanding of the evolution of the relationships and activities in this community over time. Third, in-depth interviews with members of this community will examine the role of leadership in these online health communities and the factors that contribute to strong social support online. Finally, participatory design workshops with recovering addicts and alcoholics will integrate, vet, and validate the findings of these empirical investigations and develop novel ecologically-valid technology prototypes for supporting recovery from addiction and alcoholism.

PUBLICATIONS PRODUCED AS A RESULT OF THIS RESEARCH

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Haiwei Ma, C. Estelle Smith, Lu He, Saumik Narayanan, Robert A. Giaquinto, Roni Evans, Linda Hanson, and Svetlana Yarosh. "Write for Life: Persisting in Online Health Communities with Expressive Writing and Social Support" Proc. ACM Hum.-Comput. Interact. , v.1 , 2017 10.1145/3134708
Rubya, Sabirat and Wang, Xizi and Yarosh, Svetlana "HAIR: Towards Developing a Global Self-Updating Peer Support Group Meeting List Using Human-Aided Information Retrieval" Proceedings of the 2019 Conference on Human Information Interaction and Retrieval , 2019 10.1145/3295750.3298933 Citation Details
Sabirat Rubya and Lana Yarosh "Interpretations of Online Anonymity in Alcoholics Anonymous and Narcotics Anonymous" PACM on Human-Computer Interaction , v.1 , 2017 10.1145/3134726
Sabirat Rubya and Svetlana Yarosh "Video-Mediated Peer Support in an Online Community for Recovery from Substance Use Disorders" Proceedings of the 2017 ACM Conference on Computer Supported Cooperative Work and Social Computing , 2017 , p.1454 10.1145/2998181.2998246
Schmitt, Zachary and Yarosh, Svetlana "Participatory Design of Technologies to Support Recovery from Substance Use Disorders" Proceedings of the ACM on Human-Computer Interaction , v.2 , 2018 10.1145/3274425 Citation Details
Thanh-Mai Phan and Svetlana Yarosh "Sustaining Reciprocity: Generating Social Capital within Peer-Support Communities" Proceedings of the 19th ACM Conference on Computer Supported Cooperative Work and Social Computing Companion (CSCW '16 Companion) , 2016 , p.369 10.1145/2818052.2869115
Yuan Yao and Svetlana Yarosh "Group Finder: Finding the "Right": Online Support Groups for People in Recovery" Proceedings of the 19th ACM Conference on Computer Supported Cooperative Work and Social Computing Companion (CSCW '16 Companion) , 2016 , p.445 10.1145/2818052.2869091
Zachary Schmitt and Svetlana Yarosh "Participatory Design of Technologies to Support Recovery from Substance Use Disorders" PACM on Human-Computer Interaction, CSCW , v.2 , 2018 10.1145/3274425

PROJECT OUTCOMES REPORT

Disclaimer

This Project Outcomes Report for the General Public is displayed verbatim as submitted by the Principal Investigator (PI) for this award. Any opinions, findings, and conclusions or recommendations expressed in this Report are those of the PI and do not necessarily reflect the views of the National Science Foundation; NSF has not approved or endorsed its content.

Nobody should have to face a major health issue alone. Our work investigated how people turn to online communities to find social support while facing health conditions like substance use disorders or cancer. Based on our findings, we built novel computing technologies to help people get the support they need.

INTELLECTUAL MERIT:

To understand how people manage the tension between online self-disclosure and privacy, we carried out a series of studies which included in-depth interviews with more than 50 people with health conditions, online questionnaires with over 300 participants, and quantitative analysis of over 25,000 accounts in an online community for substance use disorders and over 85,000 accounts in an online community focusing on cancer. From this body of work, we found that people leverage a "social contract" interpretation of anonymity to manage privacy and access within these communities. We also found that online social support enhanced and supplemented in-person connection (rather than replacing it) and this support was critical for people's continued participation and benefit in online health communities. People facing major health conditions wanted technology to help amplify in-person connections and support networks to help them manage their conditions.

Based on these findings, we worked with collaboration with people facing health conditions to design novel technologies to address challenges they viewed as critical to their recovery. Two clear directions emerged from this process. The first was a mobile application for dyadic peer mentorship, connecting people with a specific health condition with those who have faced the same condition in the past. The key technical innovation was in creating a virtual assistant to help initiate and maintain this mentorship relationship. We have developed and validated a low-fidelity version of this application. The second direction was in helping people identify local support groups that best suit their needs. This presented a substantial technical challenge, since most support group information is fragmented across hundreds of small local grassroots sites. We addressed this challenge by creating and validating a novel method for Human-Aided Information Retrieval (HAIR) that combines information retrieval, machine learning, and crowdsourcing to aggregate support group data from these local grassroots sites.

Overall, the main intellectual merit contributions of this body of work were in addressing fundamental empirical questions in social computing and health informatics, as well as leading to the design of novel systems and methods in computing.

BROADER IMPACTS:

Results from this project were disseminated through academic publications and presentations, including five full-length papers in the top venues on social computing and human information retrieval. The results and findings were also disseminated to a lay audience through a series of blog posts (on GroupLens.org and InTheRooms.com) and a webinar course aimed at medical practitioners.

This project supported training four Ph.D. students (two of who were from groups underrepresented in Computer Science), all of whom contributed to multiple phases of this project and its dissemination. Our group also mentored five undergraduate students in research through involvement in this project (three of whom were from groups underrepresented in Computer Science). Three of these students have leveraged their research experience to apply to Ph.D. programs in Computer Science to continue their development as researchers.

Finally, we also integrated research findings and outcomes from this project into curriculum development activities, including an instructional unit on big data analysis in online health communities in a large undergraduate programming course and a design challenge for a capstone course in physical computing.

Overall, the main broader impact contributions centered on broad dissemination of outcomes to relevant communities and on building national STEM capacity and diversity through curricular integration and student training.

 


Last Modified: 12/09/2019
Modified by: Svetlana Yarosh

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